Monica L. Montgomery, Lcsw, Llc | |
14241 E 4th Ave Ste 140 Aurora CO 80011-8758 | |
(970) 218-9341 | |
(970) 788-7418 |
Full Name | Monica L. Montgomery, Lcsw, Llc |
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Speciality | Social Worker |
Location | 14241 E 4th Ave Ste 140, Aurora, Colorado |
Authorized Official Name and Position | Monica L Montgomery (OWNER) |
Authorized Official Contact | 9702189341 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Monica L. Montgomery, Lcsw, Llc 2121 Midpoint Dr Ste 301b Fort Collins CO 80525-4342 Ph: (970) 218-9341 | Monica L. Montgomery, Lcsw, Llc 14241 E 4th Ave Ste 140 Aurora CO 80011-8758 Ph: (970) 218-9341 |
NPI Number | 1588183214 |
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Provider Enumeration Date | 09/13/2017 |
Last Update Date | 07/19/2024 |
Certification Date | 07/19/2024 |
Medicare PECOS PAC ID | 3375819493 |
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Medicare Enrollment ID | O20171017003300 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588183214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW.09924178 (Colorado) | Primary |
Provider Name | Monica Lynn Montgomery |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871972489 PECOS PAC ID: 4082929526 Enrollment ID: I20160405000875 |
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